| Kkw Massage, Inc | |
|
7904 Ne 6th Ave Suite C Vancouver WA 98665-8150 | |
| (360) 690-4114 | |
| Not Available |
| Full Name | Kkw Massage, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 7904 Ne 6th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Karen K Wagner (PRESIDENT) |
| Authorized Official Contact | 3606904114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kkw Massage, Inc 7904 Ne 6th Ave Suite C Vancouver WA 98665-8150 Ph: (360) 690-4114 | Kkw Massage, Inc 7904 Ne 6th Ave Suite C Vancouver WA 98665-8150 Ph: (360) 690-4114 |
| NPI Number | 1255571121 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255571121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA000015471 (Washington) | Primary |
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